Background: Caesarean section (CS) though a safe procedure could be associated with untoward outcome for both the mother and baby. This necessitated the evaluation of caesarean sections for their fetomaternal outcome in women delivered at a secondary health facility in northern Cross River state. Aim: The aim of the study was to determine the fetal and maternal outcome in women that had caesarean section at our centre of study. Method: This was a retrospective study of 430 out of the 1402 women that were delivered by Caesarean section over a 24 month period. Result: The mean gestational age at delivery was 38.63 +/- 1.34 weeks. The mean APGAR score for the babies was 7.74 +/-5.20 while the mean birth weight was 3.12 +/- 0.60 kg. Most of the women studied were of the age group of 26-30 years and the caesarean section rate was 30.7%. Conclusion: There was good fetomaternal outcome from the study and a low CS associated perinatal mortality was noted.